Mea Kākau: Randy Alexander
Lā O Ka Hana: 24 Apelila 2021
HōʻAno Hou I Ka Lā: 17 Nowemapa 2024
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He aha ka hōʻike ketone serum?

Hoʻoholo kahi ho'āʻo ketones serum i nā pae o nā ketones i kou koko. ʻO nā Ketones kahi huahana i hana ʻia ke hoʻohana wale kou kino i ka momona, ma kahi o ka glucose, no ka ikehu. ʻAʻole hōʻino nā Ketones i nā liʻiliʻi.

Ke hōʻiliʻili ʻia nā ketone i ke koko, komo ke kino i ketosis. No kekahi poʻe, maʻamau ka ketosis. Hiki i nā papaʻai low-carbohydrate ke hoʻoulu i kēia mokuʻāina. Kapa ʻia kēia i kekahi manawa ʻo ketosis meaʻai.

Inā loaʻa iā ʻoe ka maʻi diabetes 1, aia paha ʻoe i ka makaʻu no ka maʻi diabetic ketoacidosis (DKA), kahi pilikia e hoʻopilikia nei i ke ola kahi e lilo ai kou koko i acidic. Hiki iā ia ke alakaʻi i kahi koma diabetic a make paha.

E kāhea koke i kāu kauka inā he maʻi diabetes kou a me ka heluhelu kaulike a kiʻekiʻe paha no nā ketones. ʻO kekahi mau mika glucose koko hou e hoʻāʻo i nā pae ketone o ke koko. Inā ʻole, hiki iā ʻoe ke hoʻohana i nā kaha ketone mimi e ana i kou pae ketone mimi. Hiki i ka DKA ke hoʻomohala i loko o 24 mau hola a hiki ke alakaʻi i nā kūlana hoʻoweliweli inā haʻalele ʻole ʻia.

ʻOiai he mea liʻiliʻi ia, ʻo nā kānaka me ka maʻi diabetes ʻano 2 e hoʻomōhala i ka DKA, e like me ka Diabetes Forecast. Loaʻa paha i kekahi poʻe ka ketoacidosis ʻona mai ka hana ʻino ʻana i ka wā lōʻihi a i ʻole ketoacidosis wī mai ka wikiwiki loa.


Kāhea koke aku i kāu kauka inā kiʻekiʻe ke kō kō kō, kiʻekiʻe a kiʻekiʻe paha kāu pae ketone, a inā ʻoe e manaʻo nei:

  • ʻeha ma ka ʻōpū
  • nauseated a ke luaʻi nei ʻoe no 4 mau hola
  • maʻi me ke anu a me ka flu
  • make wai nui loa a me nā ʻōuli o ka make wai
  • ʻula, ʻoi aku ma kou ʻili
  • hanu, a hanu wikiwiki paha

Loaʻa paha iā ʻoe kahi hua a ʻaʻala metallic paha i kou hanu, a me kahi pae kō kō ma mua o 240 milligrams per deciliter (mg / dL). Hiki i kēia mau hōʻailona āpau ke lilo i hōʻailona hōʻailona o DKA, keu hoʻi inā he maʻi diabetes type 1 kāu.

He aha nā makaʻina o kahi hōʻike ketone serum?

ʻO nā pilikia wale nō i hele mai mai kahi hōʻike ketone serum mai ka lawe ʻana i kahi hōʻailona koko. Hiki paha i ka mea mālama ola ke pilikia i ka loaʻa ʻana o kahi aa maikaʻi e lawe ai i ka hāpana koko, a loaʻa paha iā ʻoe kahi ʻano prick a ʻūʻū paha ma ka pūnaewele o ka hoʻokomo ʻana o ka nila. Kūlohelohe kēia mau ʻōuli a hoʻonā iā lākou iho ma hope o ka hoʻāʻo ʻana, a i ʻole i loko o kekahi mau lā.


Ke kumu o ka hoʻāʻo ketone serum

Hoʻohana nā kauka i nā hoʻokolohua ketone serum no ka kānana ʻana iā DKA, akā kauoha paha lākou iā lākou e kuhi i ka ketoacidosis ʻona a i ʻole ka pōloli pū kekahi. Lawe pinepine nā wahine hāpai me ka maʻi diabetes i ka hoʻāʻo ketone mimi inā ʻaʻole hiki i kā lākou mau mika ke heluhelu i nā pae ketone o ke koko e hahai pinepine i nā ketone.

ʻO ka hoʻāʻo ketone serum, i ʻike ʻia hoʻi me ka hoʻāʻo ketone koko, nānā i ka nui o ka ketone i loko o kou koko i kēlā manawa. Hiki i kāu kauka ke hōʻoia no nā kino ketone ʻekolu i ʻike ʻokoʻa. Pākuʻi ʻia lākou:

  • acetoacetate
  • beta-hydroxybutyrate
  • acetone

ʻAʻole hiki ke hoʻololi ʻia nā hopena. Hiki iā lākou ke kōkua i ke kuhi ʻana i nā ʻano ʻokoʻa.

Hōʻike ʻo Beta-hydroxybutyrate iā DKA a hōʻike ʻia he 75 pākēneka o nā ketone. Hōʻike nā pae kiʻekiʻe o ka acetone i ka lāʻau make acetone mai ka wai ʻona, nā pena, a me ka lawe ʻana o ka polish nail.

Pono ʻoe e hoʻāʻo no nā ketones inā ʻoe:

  • loaʻa nā ʻōuli o ketoacidosis, e like me ka make wai nui loa, ka luhi, a me ka hanu hua
  • he maʻi a he maʻi paha
  • loaʻa nā kō kō kō ma luna o 240 mg / dL
  • inu nui i ka waiʻona a ʻai liʻiliʻi

Pehea e hana ai i ka hōʻike ketone serum?

Hana ʻia kahi hōʻike ketone serum i kahi keʻena hoʻokolohua e hoʻohana nei i kahi laʻana o kou koko. E haʻi aku kāu kauka iā ʻoe inā pono ʻoe e hoʻomākaukau a pehea e hoʻomākaukau ai inā ʻoe e hana.


E hoʻohana kahi mea mālama ola i kahi nila lōʻihi lōʻihi a wīwī e huki ai i nā kīʻaha koko liʻiliʻi mai kou lima. E hoʻouna lākou i nā mea laʻana i kahi lab no ka hoʻāʻo ʻana.

Ma hope o ke kahakaha ʻana o ke koko, kau kau kauka i kahi kaula ma luna o ka pūnaewele injection. Hiki ke wehe i kēia ma hope o hoʻokahi hola. Maliʻa a palupalu paha ka wahi ma hope, akā hele kēia i ka hopena o ka lā.

Nānā home

Loaʻa nā pahu home no ka hoʻāʻo ʻana i nā ketones i ke koko. Pono ʻoe e hoʻohana i nā lima maʻemaʻe, holoi ʻia ma mua o ke kiʻi ʻana i ke koko. Ke kau ʻoe i kou koko ma ke kaʻe, e hōʻike ka mea nānā i nā hopena ma kahi o 20 a 30 kekona ma hope. Inā ʻole, hiki iā ʻoe ke nānā no nā ketone e hoʻohana ana i nā kaha ketone mimi.

He aha ke ʻano o kāu mau hopena?

Ke loaʻa kāu mau hopena hōʻike, e nānā hou kāu kauka me ʻoe. ʻO kēia paha ma ke kelepona a i ʻole i kahi manawa e ukali ai.

Nā heluhelu ketone serum (mmol / L)He aha ka manaʻo o nā hopena
1.5 a ʻoi aku pahaHe maʻamau kēia waiwai.
1.6 i ka 3.0E hōʻoia hou i nā hola 2-4.
ma luna o 3.0E hele koke i ka ER.

Hiki i nā pae ketones kiʻekiʻe ke hōʻike i:

  • ʻO DKA
  • pōloli
  • pae kuloko glucose paʻamau i kāohi ʻole ʻia
  • ketoacidosis ʻona

Hiki iā ʻoe ke loaʻa ketones ʻoiai inā ʻaʻohe ou diabetes. ʻOi aku ke kiʻekiʻe o ke alo o nā ketone i ka poʻe:

  • ma ka papaʻai haʻahaʻa-carbohydrate
  • ka mea loaʻa i ka maʻi ʻaʻai a i ʻole ke mālama ʻana no hoʻokahi
  • ka luaʻi mau
  • ka poʻe inu ʻona

E makemake paha ʻoe e noʻonoʻo iā lākou me kāu pae kō kō. ʻO ka pae kō kōkō maʻamau no ka mea ʻaʻohe diabetes ka 70-100 mg / dL ma mua o ka ʻai ʻana a hiki i ka 140 mg / dL i ʻelua mau hola ma hope.

He aha e hana ai inā maikaʻi kāu mau hopena

ʻO ka inu ʻana i ka wai a me nā wai kō a me ka kō ʻole a me ka hoʻoikaika kino ʻole nā ​​mea hiki iā ʻoe ke hana koke inā hoʻi kiʻekiʻe kāu mau hoʻāʻo. Pono paha ʻoe e kāhea i kāu kauka no ka nui o ka insulin.

E hele koke i ka ER inā he kaulike a nui paha kāu o nā ketones i loko o kou koko a mimi paha. Hōʻike kēia i kou ketoacidosis, a hiki iā ia ke alakaʻi i kahi koma a i ʻole nā ​​hopena hoʻoweliweli ʻē aʻe.

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